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The effect of topical vancomycin powder application on the rate of intervertebral fusion following lumbar fusion:a retrospective study – Lumbar Fusion

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The article analyzed the use of topical vancomycin powder in reducing surgical site infections (SSI) after lumbar spinal fusion. The study included 192 patients who underwent posterior lumbar fusion, divided into vancomycin and control groups. The vancomycin group was further subdivided into different dosage groups. The results showed a significant decrease in SSI rates in the vancomycin group compared to the control group, with no impact on intervertebral fusion rates at 6 and 12 months postoperatively. The stated that the topical application of vancomycin powder did not affect intervertebral fusion rates and effectively reduced SSI rates

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced day surgery hospital on Harley Street UK

Published article

: Topical application of 0.5 g, 1.0 g, or 1.5 g vancomycin powder did not affect the rates of intervertebral fusion after lumbar fusion. In addition, topical application of vancomycin powder significantly reduced the rates of SSI.

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World Neurosurg. 2024 Mar 19:S1878-8750(24)00443-1. doi: 10.1016/j.wneu.2024.03.059. Online ahead of print.ABSTRACTPURPOSE: The occurrence of surgical site infection (SSI) after lumbar spinal fusion is a serious complication. Therefore, an increasing number of clinicians are applying vancomycin powder topically in the surgical field to reduce the incidence of SSI. However, there is concern that topical vancomycin powder,

World Neurosurg. 2024 Mar 19:S1878-8750(24)00443-1. doi: 10.1016/j.wneu.2024.03.059. Online ahead of print.

ABSTRACT

PURPOSE: The occurrence of surgical site infection (SSI) after lumbar spinal fusion is a serious complication. Therefore, an increasing number of clinicians are applying vancomycin powder topically in the surgical field to reduce the incidence of SSI. However, there is concern that topical vancomycin powder application may affect intervertebral fusion. The purpose of this study was to analyse the effect of clinically-relevant topical vancomycin doses on the rate of intervertebral fusion after lumbar fusion and to further investigate the effect of vancomycin powder on the prevention of SSI.

METHODS: The clinical data of 192 patients with degenerative lumbar spine disease admitted from January 2019 to June 2022, all of whom underwent posterior lumbar fusion, were retrospectively analysed. According to the infection prevention protocol, they were divided into a vancomycin group and a control group (no vancomycin), and the vancomycin group was sub-divided into 0.5 g, 1.0 g, and 1.5 g vancomycin groups. General information and surgical evaluation indexes were compared between the control and vancomycin groups and intervertebral fusion was compared between the vancomycin groups at 6 months and 12 months postoperatively.

RESULTS: The rate of SSI in the vancomycin group was 0.0%, which was significantly lower than that in the control group (5.3%, P < 0.05), and intervertebral fusion was good in all three vancomycin groups at 6 months and 12 months postoperatively, with no statistically-significant differences (P > 0.05).

: Topical application of 0.5 g, 1.0 g, or 1.5 g vancomycin powder did not affect the rates of intervertebral fusion after lumbar fusion. In addition, topical application of vancomycin powder significantly reduced the rates of SSI.

PMID:38514028 | DOI:10.1016/j.wneu.2024.03.059

The London Spine Unit : most experienced day surgery hospital on Harley Street UK

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The effect of topical vancomycin powder application on the rate of intervertebral fusion following lumbar fusion:a retrospective study

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World Neurosurg. 2024 Mar 19:S1878-8750(24)00443-1. doi: 10.1016/j.wneu.2024.03.059. Online ahead of print.ABSTRACTPURPOSE: The occurrence of surgical site infection (SSI) after lumbar spinal fusion is a serious complication. Therefore, an increasing number of clinicians are applying vancomycin powder topically in the surgical field to reduce the incidence of SSI. However, there is concern that topical vancomycin powder
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